Key result
Primary bipolar replacement arthroplasty significantly improved functional outcomes compared to internal fixation, demonstrating a higher Harris Hip score at 24 months (82.76 vs 70.91).
Why the study?
Management of unstable intertrochanteric femur fractures in the elderly has remained a matter of debate, with ongoing dilemma between osteosynthesis and prosthesis.
Does primary bipolar replacement arthroplasty improve functional outcomes and reduce time to weight bearing compared to internal fixation in elderly patients with unstable intertrochanteric fractures?
Population
108 osteoporotic elderly patients with unstable intertrochanteric fractures
Comparison
Internal fixation vs primary bipolar replacement arthroplasty
Design
Retrospective evaluation
Authors
Loading...
May support bipolar arthroplasty preference in elderly unstable fractures; leaves open need for RCTs before practice change.
Cohort (n=108)
Random number tables
No
Does primary bipolar replacement arthroplasty improve functional outcomes and reduce time to weight bearing compared to internal fixation in elderly patients with unstable intertrochanteric fractures?
Absolute Event Rate: 82.76% vs 70.91%
p-value: p=<0.0001
Cemented bipolar arthroplasty allows for significantly earlier weight bearing and better functional outcomes compared to internal fixation in elderly patients with unstable intertrochanteric fractures.
Bansal et al. (2019) conducted a cohort in Unstable intertrochanteric fractures (n=108). Primary bipolar replacement arthroplasty vs. Internal fixation was evaluated on Harris Hip score at 24 months (p=<0.0001). Primary bipolar replacement arthroplasty significantly improved functional outcomes compared to internal fixation, demonstrating a higher Harris Hip score at 24 months (82.76 vs 70.91).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: